Protrusive Dental Podcast

In this thought-provoking episode, Dr. Pasquale Venuti represents Tomorrow Tooth aka 'the other voice of Dentistry'. He is a renowned dentist who is not afraid to express his controversial views. While he may challenge the modern techniques taught in dental schools today, he brings attention to the shortcomings in current practices and encourages critical thinking. Dr. Jaz and Dr. Pasquale explore various topics that challenge traditional dental practices, including subgingival caries, flat onlays, post crowns, and cement selection. By raising practical and applicable questions, they encourage dentists to question established norms and seek better solutions for their patients. https://youtu.be/tZp4s0Wj2zY Watch PDP152 on Youtube Protrusive Dental Pearl: New Restoration Needed and the Patient has an existing occlusal appliance. What can you do? Imagine a Stabilisation Splint -  For patients who rely on an occlusal appliance - how do you manage the scenario if they need a restoration? Do you need to make a new occlusal appliance? ? Not really. You just have to gouge out the acrylic where the new restoration was placed (intaglio surface of splint). If the splint fits well, no further adjustments are needed otherwise additional acrylic can be added to provide retention (like a partial reline of the splint over your new restoration. Don't forget that vaseline!) Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 02:36 The Protrusive Dental Pearl05:25 Pasquales introduction16:53 Subgingival Caries and Gingivectomy22:10 ‘TableTop Onlays’ - Where is the limit?28:30 Pasquale on C-Factor31:12 What are the Limits of Adhesive Dentistry?36:55 Guideline for Adhesive vs Mechanical If you enjoyed this episode, check this another episode by Dr. Taylor Paton: Biomimetic Dentistry – What Actually Is It? Click below for full episode transcript: Jaz's Introduction: In this episode, we're gonna talk about the other voice of dentistry. It's a very provocative episode title, right? Jaz's Introduction:IThe Anti Biomimetic Dentist, well, for those of you who know the Italian Stallion, Dr. Pasquale Venuti, he's just amazing. And he's not shy to express his views. He's very controversial, and he won't mind me saying this right? And it's not like he's like completely in the fringe. He's not like, ozone. He's not removing people's amalgams to cure them of their erectile dysfunction or whatever. Whatever, he is not fringe. He's just on the other side of what we get taught at dental school nowadays. The adhesive approach, but what Pasquale is great at is, is pointing out the shortcomings in the modern techniques, right? What's wrong with fiber posts? What's wrong with blindly following adhesive dentistry? So, what tomorrow tooth, the group, that Pasquale is part of is so good at just expressing the other voice of dentistry, take nothing at face value. So I think you're gonna really enjoy this episode. I've been sitting on this episode for a couple of years now for various reasons, mostly because the amount of interjections and the amount of additional content this episode required me to do is why it took so long. But hope you enjoy this episode and learn a lot with Pasquale Venuti. Some different views of thinking, some slightly controversial areas will be covered in this episode. So get those onions ready because there's gonna be lots of onion chopping during this episode. Hello, Protruserati. I'm Jaz Gulati. Welcome back to another episode of Protrusive Dental Podcast. It is your first time listening. Wow. You've chosen an interesting one to join us. And if you are a usual listener, like I said, man, this is the one for the onions. We're gonna do a two-part episode. In this episode we're gonna cover sub gingival caries. We're gonna cover flat onlays. Like when can you get away with it and when is it a bad idea? Is it ever a good idea? How about post crowns?

Download our Prescribing Antifungals for Dentists Cheat Sheet! Miconazole? Nystatin? Amphotericin B? What dose? When should you refer, and to who? How often do we prescribe antifungals as a GDP? I always need to brush up on the guidelines and best management of oral fungal infections whenever I make a diagnosis - which is why brought on Oral Medicine Specialist Dr. Amanda Phoon Nguyen to make diagnosing and managing oral fungal infections less painful! Dr. Phoon Nguyen shared her experience and insights into diagnosing and treating oral fungal infections. Here's a glimpse of what we covered: Primary Oral Candidosis: Explore the three types: pseudomembranous candidosis, chronic hyperplastic candidosis, and erythematous candidosis.Learn how to identify each type and when further investigation may be necessary. Candida-Associated Lesions: Understand the different candida-associated lesions, including denture stomatitis, angular cheilitis, median rhomboid glossitis, and linear gingival erythema.Discover the significance of these lesions in relation to systemic health. Treatment Approaches: Gain insights into effective antifungal medications, such as miconazole oral gel (Daktarin), amphotericin B lozenges (Fungilin), and fluconazole mouthwashes.Consider interactions and precautions when prescribing antifungals for patients on specific medications. Denture Hygiene: Explore the role of dentures in oral candidosis and the importance of proper denture hygiene.Learn practical tips for denture maintenance to prevent candida colonization. https://youtu.be/-RqoVZVVnsI Watch PDP151 on Youtube The Protrusive Dental Pearl: What are you Waiting for? If there’s something you’ve been putting off (meditation, exercise, diet, work, etc.), the best time to start was years ago. The second-best time is today! Write it down, tell someone, keep yourself accountable and start right now. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 01:31 The Protrusive Dental Pearl02:47 Dr. Amanda Phoon Nguyen06:43 Candida Albicans08:37 Primary Oral Candidosis14:48 Modifiable Factors18:40 GP vs. Oral Medicine - Where to Refer?21:44 To Prescribe or Not to Prescribe?24:10 Antifungal Medication31:44 Interactions35:48 Angular Cheilitis39:06 Median Rhomboid Glossitis and Denture Stomatitis39:57 Denture Hygiene If you enjoyed this episode, check this another episode by Dr. Ben Pollock and Dr. Samuel Cope, Got Your Back – Physios and Dentists. Click below for full episode transcript: Jaz's Introduction: If you've diagnosed a fungal infection in your patient, perhaps oral thrush or a denture dermatitis, should you prescribe antifungals straight away? Or is it a good idea to improve the oral hygiene, the denture hygiene first? Should you always be sending for a blood test or is it okay just to go straight for the antifungals? Jaz's Introduction:Look, if you're anything like me and every time you even suspect fungal infection your patient, you are thinking, whoa. When I even begin what I prescribe, I haven't done this in ages because you see this is something that, unlike a lot of other things in dental school, this is probably actually taught well, but the frequency of how often you actually see patients with fungal infections is not very common. Therefore, we kind of forget what is the best to prescribe at the best time. So unless you've done it a few times, you're probably going to gain a lot from this episode like I did with our guest all medicine specialist, Dr. Amanda again from Perth, Australia. Now Protruserati, I know you're going to love Amanda because she is so straight talking. I know you love our straight talking guests and she's just absolutely brilliant. We have a fantastic infographic for you to download as well. And a lovely episode summary for you to sink your teeth into. Hello, Protruserati. I'm Jaz Gulati and welcome back to another episode ...

What should the occlusion look like when you are restoring or replacing a Class IV restoration? This question is so basic yet so complex which is often not talked about enough. We go on all these composite courses and talk about the layering, but we don't talk enough about how to put the principles of occlusion into action. In this episode, Dr. Ibrahim will be talking about how Class IV Restorations can be optimised to get a long term predictable result. We also shared the two mechanical failures in dentistry and the step-by-step process of a Class IV restoration with occlusion in mind. https://youtu.be/JgbO6PDjSOg Watch PDP150 on Youtube The Protrusive Dental Pearl: Occlusion Whisperer – Ask your patient to bite together and listen – in a “good” occlusion you should hear lots of tooth-to-tooth contact, whereas a thud indicates an issue. Use this in addition to more traditional methods of assessing the occlusion, and make sure you are satisfied with the occlusion before asking the patient “how does that feel?” Are you ready to learn Occlusion in a way that makes sense, in your own time, with first class support and career boosting confidence to deliver Restorative Dentistry to the highest standard? Then join Occlusion Basics and Beyond Online Course with IAS Academy Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 00:49 The Protrusive Dental Pearl02:23 Dr. Mahmoud Ibrahim03:07 Class IV Lesions07:21 Mechanical Failure09:28 The “Envelope of Function” and “Chewing Space”13:50 Dealing with Limited Chewing Space17:49 Mock-Ups19:35 Dots and Lines21:14 The Process If you enjoyed this episode, check this another episode by Dr. Mahmoud Ibrahim, Next Level Occlusion (Basics Part 2). Click below for full episode transcript: Jaz's Introduction: What should the occlusion look like when you're restoring or replacing a Class IV Restoration? It's a really interesting question actually. Like it's so basic, yet so complex. Jaz's Introduction:So we're going to make this topic, which is often not talked about enough, and like we've got all these composite courses and they talk about the layering. But we don't talk enough about how to put the PRINCIPLES of OCCLUSION into action on your Class IV Restorations to actually get a long-term predictable result. Hello, Protruserati. I'm Jaz Gulati, and welcome back to PDP150. We've got over 200 episodes of Protrusive now with you, include the Interference Cast, and all the other branches of the podcast that we do. Thank you so much for joining me time and time again. If you're new to the podcast, welcome. You picked a really interesting and fun topic to join us on today. Protrusive Dental Pearl:Now every episode I give you a Protrusive Dental Pearl. And of course it's going to have to be an occlusion one. Okay, so this is something I learned in my time at GUYS Hospital when I was at DCT. This was like nine years ago now. And it is when you're checking the bite, do you listen to the bite? Now it sounds really funny, but we check tactile, we check with the shim stock foil or the articulating paper. We check visually because we see the ink marks on the teeth. We could check with our fingers. When you bite together, you feel some pressure, feel some vibrations on the teeth. These are all methods of checking. The occlusion is something proud, is it not? But sometimes a really good thing that I like to do routinely after restorations is just listening to the bite. I tell my patients, I'm the occlusion whisperer. Okay? So I come up by their teeth and I say, 'can you tap your teeth together like this?' And that's what a good occlusion sounds like. Okay. Lots of teeth hitting together at once. If there's a thud,

The podcast explores the link between airway issues and bruxism, emphasizing the need to screen for airway problems before treating bruxism. It discusses the three levels of diagnosis for sleep bruxism and highlights the importance of considering the airway in dental care. The podcast also explores the factors and challenges involved in diagnosing bruxism, as well as the complexity of studying the link between bruxism and airway obstruction. It provides guidance for dentists in diagnosing and communicating about bruxism, and discusses the significance of micro-arousals in the brain.

You're faced with a beautiful crown with what seems like a decent root filling - but there's an apical infection present. Is the answer always endodontic re-treatment? When should we instead consider apical surgery so we can clear the infection WITHOUT drilling through the crown or having to dismantle posts? In this episode, specialist endodontist Dr. Peter Raftery and his associate Dr. Manpreet Dhesi will be talking about the Apicoectomy procedure that can be used to treat root-filled teeth using a 'retrograde' approach. They will discuss about how it fits into general dentistry, its indications and contraindications, its cost analysis vs implants and and the entire protocol for performing Apicoectomy https://youtu.be/sZOsLuuf-Vo Watch PDP148 on Youtube Protrusive Dental Pearl: The periradicular surgery guidelines issued by BES and the Royal College of Surgeons. Download the guidelines about periradicular surgery or on the app under the Protrusive Vault (where all the different files and infographics and the different things that you get as a Protrusive premium member) BES-RCS-Peri-Radicular-Surgery-GuidelinesDownload Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 1:37 The Protrusive Dental Pearl 3:32 Dr. Peter Raftery’s introduction4:05 Dr. Manpreet Dhesi’s introduction5:16 What is Apicoectomy?6:29 Oral Surgeons vs Endodontists?8:48 Is a Microscope mandatory for Apicoectomy?10:08 Apicoectomy for posteriors11:00 Isolation Protocol for Anterior Apicoectomies11:35 Apicoectomy Protocol15:03 Disinfection Protocol18:41 Moisture control from the bleeding20:43 Risk of surgical emphysema - Is special handpiece needed?21:52 Indications and Contraindications for Apicoectomy 27:46 Endodontic Re-treatment29:05 Cost benefit analysis of Apicoectomy31:20 Success rate for Apicoectomy34:19 Case Scenario 1: 82-year old patient with a singular crown, root filling and a radicular pathology42:10 Retrograde fillings of choice  44:09 Grafting after Apicoectomy - is it needed?45:04 Equipments for Apicoectomy47:11 Learning more about Apicoectomy Apical Microsurgery Instrument Kit- the mirror, the pluggers, and the little curettes by Hu-Friedy UK Apical-Microsurgery-Instrument-KitDownload If you enjoyed this episode, check this another episode by Dr. Peter Raftery: How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique Click below for full episode transcript: Jaz's Introduction: Root canals are not 100% successful. Let's face it, nothing in dentistry is a hundred percent predictable, and sometimes we are confronted with a scenario such as a beautiful central incisor crown and it's a root filled tooth, or worse yet a tooth and incisor, usually with a long thick post inside of it. Jaz's Introduction:Now, just because it looks good on the radiograph doesn't mean it was a good quality x-ray. We all know that. But anyway, let's say it looks like a decent root filling. There are no voids in it, and now you're really questioning whether it's really feasible to go down a root canal re-treatment, or is there another option? And sometimes that other option, which really comes into play in these scenarios is an apicoectomy where a flap is raised, the infection is curetted, and a bit of the root, a bit of the apex is chopped away, and then boney healing takes place. Now this is known as microsurgical endodontics. It used to be done a lot by oral surgeons in the UK at least many years ago. And now endodontists have reclaimed this territory and suggest that actually this is the way we do it to get high predictability. And that's exactly what we're got to discuss in this episode. Hello, Protruserati. I'm Jaz Gulati. I'm joined in this episode by Dr. Peter Raftery,

Stop waffling and start communicating effectively. Stop giving 75 different treatment options and RECOMMEND the ideal plan based on their goal (hint: ask more questions!). Become efficient with patient communication by switching to video letters using Loom. In this episode, Prav Solanki talks about the trust built between the Dentists and their patients, and how that trust is the foundation for providing the best treatment plan for each patient. After this episode you will realise that sales is NOT a dirty word, and you will love his definition of it. https://youtu.be/cNVMKpzbqXI Watch IC038 on Youtube Check out the example Loom videos on Premium Clinical Videos section of the Protrusive App. Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode: 6:33 Prav Solanki’s Introduction8:56 Sales in Dentistry13:53 Information that patients needs to know before being eligible for a free consultation18:47 Learning the art of concise communication25:56 2 Stage processes in Business27:58 How to build trust with your patients34:05 Delivery of the Treatment Plan36:51 Using Loom for Treatment Plan Presentation Check out courses by Prav Solanki: https://courses.iasortho.com/courses/gb/business-mindset-mastery https://courses.iasortho.com/courses/gb/phone-school-with-prav-solanki https://courses.iasortho.com/courses/gb/sales-and-communication-mastery-for-tcos If you enjoyed this, you will also love Presenting Treatment Plans the Comprehensive Way Click below for full episode transcript: Jaz's Introduction: You could be the best dentist in the world with your hands, but if you can't communicate effectively with confidence to your patient, if a patient can't sense that you as a clinician are confident to carry out whichever plan you are advising, then guess what? Jaz's Introduction:The patient will not go ahead and that's a disservice to the patient because you have your heart in the right place. You've trained for this. You've been on additional courses, but if you can't convey that to the patient, then it's an absolute waste. Hello, Protruserati. I'm Jaz Gulati. Welcome to this Interference Cast, this non-clinical interruption to help you grow as a dentist and do more dentistry on the right patients and get better outcomes. That's what it's all about with Protrusive, as has evolved over the last three years. The key word of this episode, that episode title I really purposely picked it is RECOMMEND, right? Recommending treatment plans with confidence. And I think the word recommend is so, so key because it's something that you, as a clinician, you earned the right and you'll see later in this episode why I use these specific words. You've earned the right, you've done their full examination. You've got all this training behind you, now you can make a recommendation to a patient. And I think a lot of dentists are guilty of not recommending. What I mean by that, I'll just expand a bit, is what if you've just finished your examination and instead of recommending something to a patient, instead of that, you are just splurging out. We can do a filling, we can do a sandwich, we can do a crown, we can do an onlay, we can do this, that and the other. And then really you give your patients choice fatigue. And you're not really guiding them, you're not advising them. You're basically like trying to give them all this dental knowledge and letting them decide for themselves. There's something not quite right about that. And the beauty of the word recommend is it empowers you, the dentist, to use all that information that you've gathered during the consultation to come up what is the best plan for that patient? I'm joined today by Prav Solanki. He's now a good friend of mine.

Following the cliffhanger from Part 1 where the theme was Diagnosis - we now discuss the two main protocols of internal bleaching: the Inside-Outside Bleaching technique and Walking Bleach Technique for non-vital teeth whitening. In this episode Dr. AJ Ray-Chaudhuri discussed how to prevent peroxide gel from entering the root canal system while performing non-vital bleaching. We cover every detail of the procedure and offer step-by-step guidance on how to make a tray, how much to charge patients, which gels to use and much more. https://youtu.be/5Pl238679j4 Watch PDP147 on Youtube Protrusive Dental Pearl: The full protocol workflow - summarised PDF of Part 1 and 2 of this Internal Bleaching Series plus the patient advice sheet AND lab instruction sheet by Dr. AJ Ray-Chaudhuri Click Here to Request the PDFs Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 2:28 Protrusive Dental Pearl3:40 Tips and Advice for Internal Bleaching in Practice7:21 The Inside-Outside Whitening Technique17:45 Internal Bleaching Protocol23:21 Getting the proper access cavity27:21 Dealing with patients who do not follow instructions well31:47 Considerations and Tips to maximize success or to avoid mistakes33:08 Internal resorption and relapse If you enjoyed this episode, check out the first part of this episode: Internal Whitening Protocols Pt1 (Non-Vital Bleaching)  Click below for full episode transcript: Jaz's Introduction: Hello, Protruserati. I'm Jaz Gulati, and you are listening to this episode because you've just finished part one and you are pumped to get into the full protocols for internal bleaching where Dr. AJ Ray-Chaudhuri, or you just clicked on. Jaz's Introduction:Because you've got a patient next week who's got a black tooth and you want to follow all the protrusive pearls shared in this full guide on how to actually carry out internal beach treatment, or you are in luck because we cover all those things today. In the previous episode, so part one of internal bleaching we covered about getting your diagnosis right, making sure you've got a really good root canal treatment, and also the difference between a yellow tooth, which is more likely be like a calcific metamorphosis versus an actual non vital tooth. Now, why one will not need a root canal treatment? So if you haven't listened to that one yet, please go back one episode and check that one out. Now towards the end of that episode, I left you on a cliffhanger because you got really saucy. We started talking about barrier materials. Like what material, what restorative materials should you put over your gutta percha before you put your whitening gel, right? Because the logic says that we need to put a barrier to prevent our peroxide gel from actually going into the root canal system. But you know what? I'm going to give you a spoiler now, right? What AJ actually practices is no barrier material, providing you don't have a scope because the problem is like, imagine you don't have a scope and you're going to provide some sort of a barrier. Like have you ever tried placing GIC deep down three millimeters below the CEJ? And how difficult it is not to smear that glass ionomer material all the way up the tubules. Because if you smear them, then how is that whitening gel? How is the proxide gel going to enter the tubules? And that's when you get ineffective whitening. That's when most of the tooth whitenings, but you get a neck that's still discolored. So his argument actually is really good. So we'll listen to that first thing up. But we also talk about my protocol and what I've done as well. We go through every single detail and step-by-step protocol of non-vital bleaching, including tray design,

Non-vital bleaching or internal whitening comes in many forms, but it's often confusing which exact protocol to adopt. When you learn this technique you can make a HUGE difference to a patient's smile in a minimally invasive manner. Restorative Specialist Dr. AJ Ray-Chaudhuri covered the all-important diagnoses and indications of internal bleaching as well as how to treat tooth calcific metamorphosis (the obliterated pulp). We answer the key question: do you always need to have a root canal treatment present? https://youtu.be/mEHIypt-WW4 Watch PDP146 on Youtube The Protrusive Dental Pearl: When carrying out internal bleaching make sure to clean out the entire pulp chamber especially the necrotic pulp horns - clean the necrotic tissue inside using ultrasonics. Ensure the entire chamber is de-roofed - remember that these are mostly trauma cases and the pulp went necrotic in youth - hence large pulp chambers. No role for Ninja access here! Need to Read it? Check out the Full Episode Transcript below! Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content Highlights of this episode: 3:03 The Protrusive Dental Pearl 5:55 Dr. AJ Ray-Chaudhuri’s journey into restorative dentistry13:02 Internal Bleaching Protocol15:45 Whitening obliterated pulp (Calcific Metamorphosis)21:22 No prep veneer/Composite veneer VS Tooth Whitening22:50 Q: Best time for Internal bleaching after Endodontics? STAY TUNED for Part 2 Next week when it gets really spicy - we have a PDF infographic to follow! If you enjoyed this episode, check out Post Operative Pain after Endodontics – Prevention and Management Click below for full episode transcript: Jaz's Introduction: Non-vital bleaching or internal bleaching is something that you don't really learn or get to practice at dental school. It's something that you don't really often get to do, but when you get to do it, you get to make a huge difference to a patient smile. Jaz's Introduction:But there's lots of different ways to do it. It can get very confusing and the first time you come across a case, you end up going online and searching for all the different papers and different techniques out. And you just end up getting confused, which is why I've got this killer two-part series with Dr. AJ Ray-Chaudhuri, restorative consultant. We both discuss the indications, the diagnoses, so basically it's two parts. This first part you listen to right now is going to cover his journey as a restorative consultant. The diagnoses that you can make, like when you have a yellow tooth, and you take a peri-apical radiograph and you observe that, 'Hey, where's the pulp gone? There is no canal anymore.' That's a calcific metamorphosis, right? That's a sclerosed canal, and that can be a discolored tooth. Now, how do you whiten that, and how is that different to an actual non-vital tooth where you actually drill an access cavity if there isn't one already and you whiten the tooth from within the tooth? So your diagnosis is really important. And some of the big questions that we cover are things like, do you always need to have a root canal treatment present? Does that root canal treatment need to be perfect quality, even if the patient is asymptomatic? And then we go on to discuss about which barrier material. Barrier material is something that you put over the gutter percha before you put the whitening gel to whiten the tooth. So these are all the nitty gritty things that we build up to. And in part two next week, wow. That's really going to go into the full protocol for non-vital or internal bleaching. Hello, Protruserati. I'm Jaz Gulati. Those of you who are listening, I probably sound a bit different. And those of you who are watching, yeah, I look in a different place. So, I'm actually in between Reading where I work and live and West London at the moment becau...

Rochette Bridges are a popular option for interim tooth replacement whilst implants in the aesthetic zone are 'cooking'. In this episode with Dr Pav Khaira we discuss his interim restoration protocols using Rochette Bridges and Dentures, as well as gaining an insight in to custom healing abutments. https://youtu.be/InBOBHfYxEA Watch PDP145 on YouTube Which cement is best for Rochette Bridges? How do you remove them? Ceramic or Composite pontic? When might we consider a Denture instead? We then expand in to soft tissue augmentation at the time of implant surgery to get the best pink aesthetics. This episode is packed full of gems even if you do not place implants - much of the benefits of soft tissue augmentation can be applied to non-implant fixed prosthodontics. The Protrusive Dental Pearl:  Steal my Resin Bonded Bridges consent form! It is a visual aid for patients and helps with information and consent for RBBs. If you are on Protrusive Premium, head to the 'Protrusive Vault' to download it. Otherwise you can request your free download here. Need to Read it? Check out the Full Episode Transcript below! Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content "It's all about how you communicate the soft tissue grafting surgery to your patient" - listen/watch the episode to hear this absolute peach of a communication pearl! Learn Implants from Dr Pav Khaira Highlights of this episode: 3:40 Dr Pav Khaira's Introduction7:20 Interim Restoration vs Immediate Loading of Implant10:12 TWO Golden Rules of Temporary Dentures for Implants11:15 What is a Customised Healing Abutment?17:40 Rochette Bridges Protocol23:54 Temporary Implant Crown Protocol31:36 Communicating Soft Tissue Grafting If you enjoyed this episode, check out Success with Resin Bonded Bridges. Click below for full episode transcript: Jaz's Introduction: If you've placed an implant or maybe your surgical colleague has placed an implant and now it's come to you as the restorative dentist, and you need to give this patient a tooth because they're not going to go for immediate loading, i.e, they're not going to have the temporary crown on this implant the same day. Jaz's Introduction:We're going to wait some healing, and therefore, how can you give this patient a tooth? It's going to be a denture or a bridge of some sort temporarily. There might be some other ways, but these are the two most common ways to do it. Now, you might have heard of something called a Rochette Bridge. Rochette Bridge is basically like a metal resin bonded bridge with HOLES in it. It's very popular way. A lot of the implant dentists use to TEMPORARILY have a tooth there so that everything can heal, the soft tissue can heal, the implant can osseointegrate, and then you can take off this bridge and continue on with placing a crown for that implant. But there's lots of nuances when it comes to Rochette Bridges. So I've got on Pav Khaira today to talk about Rochette Bridges. Talk about dentures, like how do you make sure the denture's not impinging on the soft tissues and on the healing abutment. Now if all these terms aren't making sense to you, then I'll make sure that Pav breaks down exactly what a healing abutment is. So really is the bare bones of everything and builds you up and we build up all the way towards the end. We talk about soft tissues and how in many cases soft tissue augmentation to get a nice papilla is so important and Pav will share with you a very interesting stat about the number of people that show their papillas. Have a guess, actually, if you don't know this already, when people smile, when our patients smile, what percentage of them will show a papilla? At least a papilla, one papilla anteriorly, right? So what percentage of patients will show papilla, at least.

No need for violins - this episode was to share our behind-the-scenes story of creating an online occlusion course. This year has been the most challenging for me and Mahmoud Ibrahim as we worked hard to make OBAB the most tangible, real-world, and comprehensive occlusion training on the planet. We faced many struggles, hardships, and sacrifices along the way. I want to thank you all for your support, your help and your feedback. You have been a great help in this journey and I am so grateful that we were able to accomplish it with your blessings. In this episode, me and Dr. Mahmoud Ibrahim were invited to the Dental Innovator Podcast to talk about the journey, challenges and sacrifices we made while working on OBAB. This episode will also inspire you regardless of your own situation. Whether you are starting a practice, buying a practice or starting a business within or outside of dentistry, this episode will give you inspiration and a perspective. OBAB One-Time Pre-Launch Deal is now SOLD OUT – thanks for all your support! Highlight of this episode: 2:27 Dr. Jaz and Dr. Mahmoud’s Introduction5:52 Driving force in doing OBAB8:56 Process in making online course13:04 Online Course vs Live Course16:48 Work-Life Balance20:31 OBAB Journey28:12 OBAB’s post course support34:54 Responsibilities in Business Partnership41:00 Qualifications of Dr. Jaz and Dr. Mahmoud to teach people occlusion47:33 Dr. Mahmoud’s journey inside and outside dentistry49:12 Marketing aspect of an online course52:04 Advice for young dentists55:42 Innovations in Dentistry If you liked this episode, you will love How to Win at Life and Succeed in Dentistry – Emotional Intelligence